Pediatric Rheumatic Heart Disease
How the prevention of rheumatic fever in patients with group A beta hemolytic streptococci pharyngitis. For patients with this disease, a meta-analysis supports a protective effect against rheumatic fever when penicilin is used, the following treatment will diagnose.
Oral PO penicilin V remains the drug of choice for treatment of GABHS pharyngitis, but ampicilin and amoxilin are equally effective. When PO penicillin is not feasible or dependable, a single dose of intramuscular benzalthine peniciline G or benzalthine/procaine penicillin combination is therapeutic.
For patient who have alergy to penicillin, administer erythromycin or a first generation cephalosporin. Other options include clarithromycin for 10 days, azithromycin for 5 days, or a narrow spectrum (first generation) cephalosporin for 10 days. As many as 15% of patients who are allergic to penicillin are also allergic to cephalosporin.
Oral PO penicilin V remains the drug of choice for treatment of GABHS pharyngitis, but ampicilin and amoxilin are equally effective. When PO penicillin is not feasible or dependable, a single dose of intramuscular benzalthine peniciline G or benzalthine/procaine penicillin combination is therapeutic.
For patient who have alergy to penicillin, administer erythromycin or a first generation cephalosporin. Other options include clarithromycin for 10 days, azithromycin for 5 days, or a narrow spectrum (first generation) cephalosporin for 10 days. As many as 15% of patients who are allergic to penicillin are also allergic to cephalosporin.
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